HomeMy WebLinkAboutPermit EL11-1143 - MOORE RESIDENCEMOORS RESIDENCE
5415 S 150 ST
EL1 1 -1143
City ofkrukwila
•
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Fax: 206 - 431 -3665
Web site: htto: / /www.TukwilaWA.gov
Parcel No.: 8733000075
Address: 5415 S 150 ST TUKW
Project Name: MOORE RESIDENCE
ELECTRICAL PERMIT
Permit Number: EL11 -1143
Issue Date: 12/28/2011
Permit Expires On: 06/25/2012
Owner:
Name: MOORE LORI
Address: 5415 S 150TH ST , TUKWILA WA
Contact Person:
Name: DAN LONGSINE
Address: 16320 81 PL NE , KENMORE WA
Contractor:
Name: INTEGRATION ELECTRIC LLC
Address: PO BOX 1030 , CARNATION WA
Contractor License No: INTEGEL922B4
Phone: 425 652 -6408
Phone: 425 - 391 -7704
Expiration Date: 01/24/2012
DESCRIPTION OF WORK:
SERVICE AND METER CHANGE
Value of Electrical:
NRES: $0.00
RES: $2,386.00
Type of Fire Protection: UNKNOWN
Electrical service provided by: SEATTLE CITY LIGHT
Permit Center Authorized Signature:
I hereby certify that I have read and
governing this work will be complie
x.
with
The granting of this permit does not pr
construction or the performance of work.
Signature:
Print Name:
Fees Collected:
National Electrical Code Edition:
Date:
$150.15
2008
ed this permit and know the same to be true and correct. All provisions of law and ordinances
whether specified herein or not.
e to give authority to violate or cancel the provisions of any other state or local laws regulating
am authorized to sign and obtain this electrical permit.
(L 4& f C./�
This permit shall become null and void if the work is not commenced within 180 days from the date of issuance, or if the work is suspended
or abandoned for a period of 180 days from the last inspection.
Date: li? /Alyi
doc: EL -4/10
EL11 -1143 Printed: 12 -28 -2011
PERMIT CONDITIONS
Permit No. EL11 -1143
* *ELECTRICAL **
1: A copy of the electrical work permit shall be posted or otherwise made readily accessible to the Electrical Inspector
at each work site.
2: Approved plans shall be maintained at the construction site and shall be readily available to the Electrical Inspector.
3: All electrical work shall be in accordance with NFPA 70 - NEC, and requirements for electrical installations, Chapter
296 -46B WAC.
4: When any portion of the electrical installation is to be hidden from view by permanent placement of parts of the
building, such equipment shall not be concealed until it has been inspected and approved by the Electrical Inspector.
5: The issuance of an electrical work permit shall not be construed to be a permit for, or an approval of, any violation
of the provisions of the electrical code or other ordinances of the jurisdiction. Permits or related documentation that
presumes to grant this authority are therefore not valid.
6: Any change in the scope of work described by the electrical work permit shall require additional work permits. Where
approved plans have been issued, revisions to the plans and additional review may be required.
doc: EL-4/10
EL11 -1143 Printed: 12 -28 -2011
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd, Suite 100
Tukwila, WA 98188
http: / /www.TukwilaWA.gov
Electrical Permit No. 6L_t t ^ 11 /4;
Project No. n q I
Date Application Accepted: '�. `ULU
Date Application Expires:
(For office use only)
ELECTRICAL PERMIT APPLICATION
Applications and plans must be complete in order to be accepted for plan review.
Applications will not be accepted through the mail or by fax.
* *Please Print**
SITE LOCATION
<241,C S tQ King Co Assessor's Tax No.: 121 °
Site Address: a Suite Number: Floor:
New Tenant: ❑ Yes ❑..No
Tenant Name:
PROPERTY OWNER
Name: Dan Longsine
Address: 16320 81st PL NE
Name:
Phone: (425) 652 -6408 Fax:
Email: dlelectric @aol.com
Address:
City:
State:
Zip:
CONTACT PERSON — person receiving all project
communication
Name: Dan Longsine
Address: 16320 81st PL NE
City: Kenmore State: WA Zip: 98028
Phone: (425) 652 -6408 Fax:
Email: dlelectric @aol.com
ELECTRICAL CONTRACTOR INFORMATION
Company Name: Integration Electric, LLC
Address: 16320 81st PL NE
City: Kenmore State: WA Zip: 98028
Phone: (425) 652 -6408 Fax:
Contr Reg No.: INTEGEL922B4 Exp Date: 01/24/20121
Tukwila Business License No.:
Valuation of Project (contractor's bid price): $ 2,386
Scope of Work (please provide detailed information):
Service and Meter Change
Will service be altered? ® Yes ❑ No Adding more than 50 amps? ❑ Yes 1 No
Type of Use:
Type of work:
❑ New ❑ Addition 0 Service Change ❑ Remodel ❑ Tenant Improvement
❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Property Served by:
❑ Puget Sound Energy ❑ Seattle City Light
H:\Applicatiom\Forms- Applications On Line\2011 Applications\Electrical Permit Applicatinn Revised 8.9- 11.docx
Revised: August 2011
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Page 1 of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings
(including an attached garage)
❑ Garages, pools, spas and outbuildings
❑ Low voltage systems
(alarm, furnace thermostat)
$152.85
$81.90 ea
$59.85 ea
RESIDENTIAL REMODEL AND SERVICE CHANGES
O Service change or alteration $81.90
(no added/altered circuits)
❑ Service change with added/altered circuits $81.90
number of added circuits $11.55 ea
❑ Circuits added/altered without service change $54.60
(up to 5 circuits)
❑ Circuits added/altered without service change $54.60
(6 or more circuits) $7.65 ea
O Meter /mast repair $68.25
❑ Low voltage systems $59.85
(alarm, furnace thermostat)
MULTI - FAMILY AND COMMERCIAL
Fees are based on the valuation of the electrical contract.
MISCELLANEOUS FEES
❑ Temporary service (residential) $63.00
❑ Temporary service (generator) $78.75
❑ Manufactured/mobile home service $84.00
(excluding garage or outbuilding)
❑ Carnivals $78.75
Number of concessions $10.50 ea
PERMIT APPLICATION NOTES -
Value of Construction — In all cases, a value of construction amount should be entered by the applicant. This figure will be reviewed and is subject
to possible revision by the Permit Center to comply with current fee schedules.
Expiration of Plan Review — Applications for which no permit is issued within 180 days following the date of application shall expire by limitation.
The Building Official may grant one extension of time for an additional period not to exceed 90 days. The extension shall be requested in writing
and justifiable cause demonstrated.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER
PENALTY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNER OR ELECTRICAL CONTRACTOR:
Signature:
Date: 12/28/2011
Print Name: Dan Longsine Day Telephone: (425) 652 -6408
Mailing Address: 16320 81st PL NE Kenmore WA 98028
H:\AppliwionsWForms- Applications On Liae12011 Applications\ Electrical Permit Application Revised 8-9-1 1.doca
Revised: August 2011
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City State Zip
Page 2 of 2
• •
�J�w��A wq� City of Tukwila
C t ti
O
J � �
190E
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Fax: 206 -431 -3665
Web site: http: / /www.TukwilaWA.uov
Parcel No.: 8733000075
Address: 5415 S 150 ST TUKW
Suite No:
Applicant: MOORE RESIDENCE
RECEIPT
Permit Number: EL11 -1143
Status: PENDING
Applied Date: 12/28/2011
Issue Date:
Receipt No.: R11 -02794
Initials:
User ID:
JEM
1165
Payment Amount: $150.15
Payment Date: 12/28/2011 10:32 AM
Balance: $0.00
Payee: INTEGRATION ELECTRIC LLC
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd VISA
Authorization No. 153626
ACCOUNT ITEM LIST:
Description
150.15
Account Code Current Pmts
ELECTRICAL PERMIT - RES
000.322.101.00.00 150.15
Total: $150.15
doc: Receiot -06 Printed: 12 -28 -2011
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
P RMIT N
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 v.._ (206) 431 -36
Permit Inspection' Request Line (206) 431 -2451
Project: OOR�
Type of Inspection:
Z
Address: / - 1' O r
Date Called:
Special Instructions:
0 ro cob(
ICYPhone
l�
Date Wanted:.
/
p
Z!
.m.
p.m
Requester:
No:
Approved per applicable codes.
COMMENTS:
,K
ElCorrections required prior to approval.
Stio\NAc,z--
REINSPECTION FEE REQUIRE d. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
CSI - i/3Y
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
Project: 5�� i/� _
j�
Type of Inspection:
2.100
t
Address: fy'fl(
0
Date Called:
'Special Instructions:
1 )5 .
�/ !
Date Wanted:.
148
6;1"
Requester:
Phone No:
Approved per applicable codes. El Corrections required prior to approval.
OMMENTS:
Inspector:
\111:66-Iticic
1Date: #2-3//
❑ REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
Contractors or Tradespeople Per Friendly Page
•
Electrical Contractor
A business licensed by L &I to contract electrical work within the scope of its specialty. Electrical
Contractors must maintain a surety bond or assignment of savings account. They also must have a
designated Electrical Administrator or Master Electrician who is a member of the firm or a full -time
supervisory employee.
Business and Licensing Information
Name
Phone
Address
Suite /Apt.
City
State
Zip
County
Business Type
Parent Company
INTEGRATION ELECTRIC LLC
4256526408
16320 81St Pl Ne
Kenmore
WA
98028
King
Limited Liability Company
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
602748497
Active
INTEGEL922B4
Electrical Contractor
1/24/2008
1/24/2012
General
Unused
Other Associated Licenses
License
Name
Type
Specialty
1
Specialty
2
Effective
Date
Expiration
Date
Status
DANLOE'984J2
DAN LONGSINE
ELECTRIC
Electrical
Contractor
General
Unused
4/22/2002
4/22/2004
Archived
DANLOLE977KH
DAN LONGSINE
ELECTRIC INC
Electrical
Contractor
General
Unused
5/8/2003
5/22/2009
Out Of
Business
Master Electrician INFORMATION
License WERNEJB960P9
Name WERNER, JAY B
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
LONGSINE, JAIMI
Agent
01/24/2008
Received Date
LONGSINE, THOMAS "DAN"
Partner /Member
01/24/2008
Until
Released
Bond Information No records found for the previous 6 year period
Assignment of Savings Information
Page 1 of 1
Savings
Assignment of Savings Account Number
Effective Date
Release Date
Assignment Type
Impaired Date
Amount
Received Date
2
0016907206
12/9/2009
Until
Released
Bond
$4,000.00
12/9/2009
1
22041917
1/24/2008
10/3/2008
Bond
10/3/2008
$4,500.001/24/2008
Insurance Information No records found for the previous 6 year period
Summons /Complaint Information Summons and Complaints are not filed with the department for this contractor type
Warrant Information Warrants are not filed with the department for this contractor type
Infractions /Citations Information
Infraction / Citation
Date
RCW Code
Type
Status
Violation Amount
EMURD00384
5/24/2011
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$250.00
https://fortress.wa.gov/lni/bbip/Print.aspx
12/28/2011